If you would like to
receive more
information about our Crewed Yacht Sailing Adventures, as well as a custom proposal, please complete the form
below and indicate how do you want us to make contact.
If you prefer, you call
call (24) 9907-5949 (Paraty),
ou (11) 9977-4886 (São
Paulo) or fax (11)
3758-1491 and discuss the details right away.
YOUR INFO (fields marked with a red asteriscus* are required)
Your name*:
Address 1*:
Address 2*:
City*:
State*:
ZIP*:
Country*:
Profession*:
Employer*:
Date of
birth*:
Please
include country & area code:
Home
phone #*:
Cell
phone #:
Work
phone #*:
Fax #*:
e-mail*:
ADDITIONAL INFORMATION:
Have you ever chartered before?
Yes:
No:
What
type & size of yacht ?:
Where
have you chartered before ?
Brazil:
| Caribbean:
| New England:
| New Zealand:
Mediterranean:
| Polynesia:
| Australia:
| Other:
What kind of program would you like to do ?*
Weekend Charter:
| Liveaboard:
| Long range:
| Other:
How many guests will come on board ?:
Adults*:
Children*:
Are
any guests in your party SMOKERS*
?: Yes | No
What
are your preferred charter dates
?:
Are the dates flexible
?: Yes
| No
What do you consider more importantin your charter ?
...in respect to cruising:| Performance:
| Comfort:
| Destination:
...in respect to the activities:|
Sailing:
| Snorkeling:
| Restaurants:
How did you find outC'YA COCUNUT YACHT ADVENTURES ?
Internet search
|
The Windward Islands Co. |
Viento Sur Yacht Charter
Cruising World Magazine |
Sail Magazine |
Other magazines
By
personal indication |
Tourism agencies |
Other
Feel free to send us your comments, questions, or special requests :Please answer via:
Phone: | Fax: | e-mail: | Mail:
NOTE:
If
you experience any technical difficulty submitting the above info,
simply cut & paste the filled form and send it to us by e-mail